Abstract:Purpose: This study investigated medication status by examining the effects of a medication management education program on the knowledge of medications and medication misuse behaviors in the elderly in a local community. Methods: This study used a non-equivalent control group quasi-experimental design. For the study, 116 subjects were assigned to the control group and another 116 subjects were assigned to the experimental group. The medication management education program consisted of 1:1 education, practice … Show more
“…This study also showed a significant reduction in medication misuse behavior in the experimental group after the AMAEP, with a pre- and post-average difference of −3.36. This is similar to the −2.81 point reduction in a study by Lee [ 11 ] and the −2.00 point difference in a study by Park et al [ 40 ] after conducting an educational program on drug misuse among older adults. The reduction in drug misuse may have been because patients with liver disease were discouraged from taking various dietary supplements or over-the-counter medications without consulting a healthcare practitioner in a number of sessions and through one-on-one education with the nurses.…”
This study aimed to develop and evaluate a goal attainment theory-based antiviral agent medication adherence education program (AMAEP) for patients with chronic hepatitis C. A nonequivalent control group pretest-posttest design was used. Data were collected from December 2019 to March 2020 from a control group of 35 outpatients and an experimental group of 28 outpatients older than 20 years old who had been diagnosed with chronic hepatitis C. The data analysis included an independent t-test, a χ2-test or Fisher’s exact test, a Kolmogorov–Smirnov test, an analysis of covariance, and a Mann–Whitney U test. The results showed the effectiveness of the education program for patients with chronic hepatitis C. There were significant differences between the control group and experimental group in patients’ knowledge of chronic hepatitis C (Z = −5.91, p < 0.001), medication self-efficacy (Z = −5.02, p < 0.001), medication adherence rate (t = −3.88, p < 0.001), medication misuse behavior (Z = −5.00, p < 0.001), and patients’ satisfaction with their interaction with healthcare practitioners (Z = −6.61, p < 0.001). Therefore, we hope that the education program developed in this study will be utilized as an intervention for patients with chronic hepatitis C and be further developed for other patients with viral hepatitis.
“…This study also showed a significant reduction in medication misuse behavior in the experimental group after the AMAEP, with a pre- and post-average difference of −3.36. This is similar to the −2.81 point reduction in a study by Lee [ 11 ] and the −2.00 point difference in a study by Park et al [ 40 ] after conducting an educational program on drug misuse among older adults. The reduction in drug misuse may have been because patients with liver disease were discouraged from taking various dietary supplements or over-the-counter medications without consulting a healthcare practitioner in a number of sessions and through one-on-one education with the nurses.…”
This study aimed to develop and evaluate a goal attainment theory-based antiviral agent medication adherence education program (AMAEP) for patients with chronic hepatitis C. A nonequivalent control group pretest-posttest design was used. Data were collected from December 2019 to March 2020 from a control group of 35 outpatients and an experimental group of 28 outpatients older than 20 years old who had been diagnosed with chronic hepatitis C. The data analysis included an independent t-test, a χ2-test or Fisher’s exact test, a Kolmogorov–Smirnov test, an analysis of covariance, and a Mann–Whitney U test. The results showed the effectiveness of the education program for patients with chronic hepatitis C. There were significant differences between the control group and experimental group in patients’ knowledge of chronic hepatitis C (Z = −5.91, p < 0.001), medication self-efficacy (Z = −5.02, p < 0.001), medication adherence rate (t = −3.88, p < 0.001), medication misuse behavior (Z = −5.00, p < 0.001), and patients’ satisfaction with their interaction with healthcare practitioners (Z = −6.61, p < 0.001). Therefore, we hope that the education program developed in this study will be utilized as an intervention for patients with chronic hepatitis C and be further developed for other patients with viral hepatitis.
“…Poor adherence may result in disease deterioration and failure of treatment [6]. Although the rate of polypharmacy is steadily increasing [7], current studies in Korea are limited to studying drug usage [8]. A systematic review of international research revealed a lack of investigation into medication adherence among older people with polypharmacy [9].…”
Purpose: This study identified the relationships between health literacy, self-efficacy, and medication adherence among older people with polypharmacy and analyzed the factors affecting medication adherence. Methods: This was a cross-sectional study using a survey of 95 participants who were on five or more drugs, 65 years or older, and visited one community center in Seoul between August 5, 2019 and August 7, 2019. Data were collected using a questionnaire and analyzed with descriptive statistics, t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and multiple regression via the IBM SPSS 23.0 program. Results: The participants took on average 8.32±3.90 drugs daily. Their health literacy was very low at 3.53±2.07. Self-efficacy and medication adherence were high at 33.63±5.36 and 15.03±3.27, respectively. Health literacy differed based on age and education levels, whereas self-efficacy differed depending on the frequency of medication. No demographic or medication-related factors caused a difference in medication adherence. Health literacy did not correlate with self-efficacy and medication adherence. Self-efficacy showed a negative correlation with medication adherence (r=-.52, p<.001). However, as a lower medication adherence score indicates greater adherence, a negative correlation means higher self-efficacy is linked with better adherence. Self-efficacy influenced medication adherence (β=-0.52, p<.001) with an explanatory power of 27.0% (F=17.01, p<.001) in this group. Also, the negative regression coefficient means higher self-efficacy was associated with better adherence. Conclusion: Medication adherence was generally high, with self-efficacy being the main influencing factor. Hence, intervention programs that promote self-efficacy should be implemented for older people with polypharmacy.
“…노인 대상의 복약관리 교육은 노인의 약물지식 및 약물 복약 이행 도 증진에 기여하며 [8], 고혈압 교육에 참여한 노인 고혈압 환자군은 참여하지 않은 군에 비해 12.4배 약물 복용 이행이 높았다 [9]. 그럼 에도 현재까지 국내에서 지역사회 노인을 대상으로 복약관리 프로그 램을 한 연구의 수가 많지 않고 고혈압 노인을 대상으로 한 중재 연 구 [10,11]는 더욱 적어, 최근 증가하고 있는 노인 고혈압 유병률을 고려하였을 때 [2] 더 많은 중재 연구의 시도가 필요하다.…”
Section: 4배 높았다unclassified
“…여야 하는데 [4] 이에 부정적인 영향을 주는 요인으로 약물에 대한 지 식 부족 [12], 약물 복용에 대한 낮은 자기효능감 [13], 의료인과의 부 족한 의사소통 [14] 등이 확인되었다. 약물에 대한 지식 부족은 약물 이행을 저해하는 주요 요인으로, 노인의 신체 및 인지적 변화와 특성 을 고려하여 대상자가 이해하기 쉬운 교육을 진행해야 한다 [8].…”
Section: 성공적인 혈압관리를 위해서는 노인의 약물치료 이행도를 증진하unclassified
“…문헌검색은 한국학술정보(Koreanstudies Information Service System, KISS), 누리미디어(DBpia), 학술정보서비스(Research Information Sharing Service, RISS)에 발표된 논문에서 이루어졌으며 검색어로는 노인, 고혈압, 복약, 약물관리를 입력하였 다. 문헌고찰을 통해 노인의 약물 복용실태와 지역사회 노인의 복약 관리 교육 요구, 효과성이 있었던 중재 [8,10,11,16]를 파악하여 의미 있는 내용을 도출하였다. 최근 국내에서 개발된 고혈압 교육 자료인 대한고혈압학회에서 일반인 대상으로 제작한 고혈압 표준 슬라이드 2019 [23]와 질병청 연구사업으로 진행하고 아주대학교 의과대학에 서 개정한 고혈압 표준교육자료 교육지침서(매뉴얼) [24]을 근거로 교 육내용을 분석하였다.…”
Purpose: Purposes of this study were to develop an integrated online and offline medication management program and to examine effects of the program for older adults with hypertension residing in the community. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 57 older adults with hypertension (Intervention group: 29, control group: 28). The experimental group participated in the medication management program, which included the following, verbal and video education, individual counseling and using medication note over three weeks. Collected data were analyzed using the SPSS/WIN 22.0 program. The data were analyzed by Generalized Estimation Equation. Results: Statistically significant differences were found between the experimental and control groups in terms of their knowledge of hypertension and self-efficacy for appropriate medication. Conclusion: The integrated medication management program was effective as indicated in knowledge of hypertension and self-efficacy for appropriate medication. Future studies are required to explore the medication management program’s effects on older adults with hypertension using more rigorous research methods.
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